| Phillip Jordan, | |
|
600 Gresham Dr, Raleigh Building, Suite 304, Norfolk, VA 23507-1904 | |
| (757) 388-3397 | |
| (757) 388-2885 |
| Full Name | Phillip Jordan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 Gresham Dr, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801327812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101269116 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Emergency Physicians Of Tidewater |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033136841 PECOS PAC ID: 5092618462 Enrollment ID: O20040202000195 |
| Entity Name | Mep Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164483558 PECOS PAC ID: 5193610319 Enrollment ID: O20171212002233 |
| Entity Name | Observation Physicians Of Tidewater |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306590450 PECOS PAC ID: 8123401429 Enrollment ID: O20220819000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Jordan, 6379 Center Dr, Norfolk, VA 23502-4102 Ph: (757) 388-3397 | Phillip Jordan, 600 Gresham Dr, Raleigh Building, Suite 304, Norfolk, VA 23507-1904 Ph: (757) 388-3397 |
Miss Kaci Elizabeth Gogel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr Rm 304, Emergency Department, Norfolk, VA 23507 Phone: 757-388-3397 Fax: 757-388-2885 | |
Dr. Benjamin Lee Chidester, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Dr. Moses Tucker Laffitte Iv, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Theodore Tzavaras, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Suite 304, Norfolk, VA 23507 Phone: 757-388-3397 | |
Ronald Christopher Fenton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1775 Forrestal Drive Bldg Nh-33, Norfolk, VA 23551 Phone: 757-953-1552 | |
Dr. Clay Kingsley Lifton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Raleigh Building Room 304, Norfolk, VA 23507 Phone: 757-388-3397 | |
Dr. Megan Spurrell Winning, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-4200 |